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The Journal of the American Board of Family Medicine 22 (2): 169-174 (2009)
DOI: 10.3122/jabfm.2009.02.070204
© 2009 American Board of Family Medicine
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Clinical Review

First Trimester Procedural Abortion in Family Medicine

Richard John Lyus, MBBS, BSc, Paul Gianutsos, MD, MPH and Marji Gold, MD

Swedish Family Medicine Cherry Hill, Seattle, WA (RJL, PG)
Albert Einstein College of Medicine and Montefiore Medical Center, New York, NY (MG)

Correspondence: Corresponding author: Richard John Lyus, 20 Timothy's Bridge Road, Stratford Upon Avon, Warwickshire, England CV379BF (E-mail: richard.lyus{at}swedish.org)

Unintended pregnancy is common, and in the United States almost half of all women will have at least one abortion during their lifetime. The majority of abortions are performed in the first trimester. Although advances have been made in the provision of medical abortion in the family medicine setting, procedural methods remain the cornerstone of abortion care. We present a step-wise review of first trimester procedural abortion using the manual vacuum aspirator to demonstrate the feasibility of incorporating this service into a primary care setting.



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This article has been cited by other articles:


Home page
J Am Board Fam MedHome page
G. Uretsky
Re: First Trimester Procedural Abortion in Family Medicine
J Am Board Fam Med, November 1, 2009; 22(6): 707 - 707.
[Full Text] [PDF]


Home page
J Am Board Fam MedHome page
L. P. Gianutsos
Response: Re: First Trimester Procedural Abortion in Family Medicine
J Am Board Fam Med, November 1, 2009; 22(6): 707 - 707.
[Full Text] [PDF]


Home page
J Am Board Fam MedHome page
M. A. Bowman and A. V. Neale
Women's Physical Health, Mental Health, and Practical Hints for Common Practice Issues
J Am Board Fam Med, March 1, 2009; 22(2): 99 - 101.
[Full Text] [PDF]

Rapid Responses:

Read all Rapid Responses

Lifetime Elective Abortion Statistics
Gordon G Uretsky
JABFM Online, 19 May 2009 [Full text]
Response to Dr. Uretsky
L. Paul Gianutsos, et al.
JABFM Online, 19 Aug 2009 [Full text]



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